NPIMap

Organization Active NPI

Community Nursing Service

Doing business as CNS Community Hospice

  • Community Based Hospice Care Agency
  • St George, UT
National Provider Identifier
1679701932
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2015-HOSPICE-93543 Issued in UT
Legal business name
COMMUNITY NURSING SERVICE
Doing business as
CNS Community Hospice
Practice address
720 S River Rd
Suite E 101
St George, UT 84790-5515
Phone
(435) 652-9077
Fax
(435) 652-9104
NPI assigned
Jun 25, 2009
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brent D Jones
Title
President & Ceo
Phone
(801) 233-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2015-HOSPICE-93543 UT Primary

Addresses

Primary practice location

720 S River Rd
Suite E 101
St George, UT 84790-5515

Mailing address

2830 S Redwood Rd
Suite a
West Valley City, UT 84119-5625
Phone (801) 233-6100

Other names 1

  • CNS Community Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090924000301 UT Part A Provider - Hospice 9234036674 Practice locations: St George, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679701932. Details of each certification follow.

Hospice certification: CCN 461584

Legal name
COMMUNITY NURSING SERVICE
Doing business as
CNS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 14, 2011
Last certification
Nov 19, 2019
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Dec 29, 1994 in UT
Enrollment address
720S River Rd
E101
St George, UT 84790-5515

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
CNS Community Hospice - St GeorgeCCN 461584 · All quality measures
Ownership
Other
Certified
Apr 14, 2011
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Community Nursing Service5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

720 S River Rd
Ste E101
St George, UT 84790
Phone (435) 652-9077

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gary M Kelso Individual Corporate DirectorDirector Apr 1, 2020
Josette Dorius Individual Corporate DirectorDirector Apr 28, 2009
Joseph Covey Individual Corporate DirectorDirector Apr 1, 2020
David Gessel Individual Corporate DirectorChairman of the Board Apr 1, 2020
Brent D Jones Individual Corporate OfficerPresident Aug 17, 2009
W-2 Managing EmployeePresident Aug 17, 2009
Karrie Nielson Individual W-2 Managing EmployeeArea Manager Mar 9, 2009
Jaimi Ostergar Individual Corporate OfficerRegional Vice President Jun 1, 2017 100%
Steven Leroy Love Individual Corporate OfficerSenior VP Mar 22, 2008
W-2 Managing EmployeeSenior VP Mar 22, 2008
Cherie Pratt Brunker Individual Corporate DirectorDirector Apr 1, 2020
Michelle Zimbelman Individual Contracted Managing EmployeeChief Financial Officer Aug 1, 2020

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1679701932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 S REDWOOD RD",
            "address_2": "SUITE A",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841195625",
            "telephone_number": "801-233-6100",
            "fax_number": "801-233-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S RIVER RD",
            "address_2": "SUITE E 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905515",
            "telephone_number": "435-652-9077",
            "fax_number": "435-652-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY NURSING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "801-233-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "UT",
            "license": "2015-HOSPICE-93543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CNS Community Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.